Untitled

You might also like

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 24

Registration History of Exposure

   Place                      
No.  Date Name of Patient Adress Age Sex Date       (Where biting
occurred)

21-341 3/15/2021 GRESOLA, EMMERENE SAN ANTONIO 13 F 03/13/2021 NEIGHBOR

21-342 3/15/2021 MUNLAWIN, KAREN ERMITA 48 M 3/12/2021 HOME

21-343

21-344

21-345

21-346

21-347

21-348

21-349

21-350

21-351

21-352

21-353

21-354

21-355

21-356

21-357

21-358

21-359

21-360
Post Exposure Prophylaxis (PEP)
History of Exposure
Tissue Culture Vaccine (Date Given)
Washing of
Category (1,2 Bite            RIG      
Type                   and 3) Date given 
Type of animal   (B/NB) Site        (Body parts) (Y/N) Route D0 D3

03/15/2021
DOG B RIGHT FOOT 2 YES ID

DOG B RIGHT INDEX FINGER 2 YES ID


Prophylaxis (PEP)
Outcome Biting animal status
Tissue Culture Vaccine (Date Given)
Remarks
(After 4 days)
D7 D14(1M) D28 Brand Name (C/Inc/N/D) (Alive/Dead/Lost)

03/18/2021 3/22/2021 4/12/2021 SPEEDA


3/18/2021 3/22/2021 4/12/2021

You might also like